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General NPI Number Information
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NPI Number | 1801270830
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Entity Type | Organization
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Legal Business Name | ABILIS, INC,
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Dates
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Enumeration Date | 07/20/2015
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Last Update Date | 07/20/2015
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Provider Practice Location Address
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Address Line | 1150 SUMMER ST
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City | STAMFORD
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State | CT
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Zip | 06905-5530
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Country | US
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Telephone | 203-324-1880
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Fax | 203-324-4390
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Provider Business Mailing Address
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Address Line | 50 GLENVILLE ST
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City | GREENWICH
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State | CT
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Zip | 06831-4140
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Country | US
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Telephone | 203-324-1880
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Fax | 203-531-9367
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MR. DENNIS PERRY
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Credential |
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Telephone | 203-531-1880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State | CT
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